Republic of the Philippines

Department of Education
Region VI-Western Visayas
Division of Capiz
Mambusao East District
ILAWOD ELEMENTARY SCHOOL
Mambusao, Capiz

SUMMARY OF RESULTS
AREAS MONITORED EVIDENT NON EVIDENT EVIDENT NOT TOTAL
BUT IN APPLICABLE
ADEQUATE
I. Curriculum
Implementation and
Compliance
II. Delivery Process
III. Evaluation of
Learners Development
IV. Supervision of
Homeroom Guidance
Implementation
V. Administrative
Concerns

AREAS NOT EVIDENT ACTIONS TO BE TAKEN ACCOUNTABLE PERSON FOLLOW UP

/EVIDENT BUT IN ADEQUATE AND POSITION
Date : ___________

This certifies that the monitoring and evaluation results have been discussed with me. I
understand that my signature does not necessarily indicate agreement, but acknowledges receipt of the
report, and that I may respond to any and all issues contained in this evaluation. Written response must
submitted to the undersigned supervisor within 10 working days of date noted below.

School Head: Date :

_______________________ ___________________
Signature over printed name

Monitored by: Date:

_______________________ ___________________
Signature over printed name